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TRICARE Program Manuals - 2021 Edition (T-5)

These manuals are applicable to the T-5 East and West Regional Managed Care Support Contracts (MCSCs) (HT940223C0001 and HT940223C0002). Upon direction of the respective Contracting Officer (CO), all or portions of these manuals may also apply to other TRICARE contracts.

TRICARE Program Manuals - 2015 Edition (T-2017)

These manuals are applicable to the East and West Regional Managed Care Support Contracts (MCSCs) awarded on or after 07/21/2016. Upon direction of the Contracting Officer (CO), all or portions of these manuals may also apply to the TQMC, TCARS, TOP, TPharm, TDP, and TDEFIC.

The Managed Care Support (MCS) Manuals for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.

TRICARE Operations Manual, Change 86, March 26, 2021

Page Count: 1,264
Summary of Changes: This change provides guidance to the contractor in order to implement enrollment fee payments for Select Group of beneficiaries and mandatory pay by allotment fees for Retirees. This change is published in conjunction with Apr 2015 TRM Change 55.
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TRICARE Policy Manual, Change 79, April 2, 2021

Page Count: 1,044
Summary of Changes: Provides the Calendar Year 2021 updated rates for the purchase of wigs and hairpieces by beneficiaries. This change is published in conjunction with Apr 2015 TRM Change 56.
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TRICARE Reimbursement Manual (TRM), Change 56, April 2, 2021

Page Count: 962
Summary of Changes: See the Change Transmittal. This change is published in conjunction with Apr 2015 TPM Change 79.
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TRICARE Systems Manual, Change 47, March 23, 2021

Page Count: 706
Summary of Changes: This change adds revisions that significantly expand TRICARE services to beneficiaries diagnosed with ASD and their families, with a major emphasis on support to the family. This change is published in conjunction with Apr 2015 TOM Change 85.
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Other Manuals

Authority for the TRICARE Program is the 32 CFR 199. DHA is providing a version of Title 32 to the Code of Federal Regulations, Part 199 (32 CFR 199) and 10 United States Code Chapter 55 as a convenience for the DHA community.

32 CFR 199 (2016), Change 12, November 17, 2020

Page Count: 506
Summary of Changes: Final Rule - TRICARE: Referring of Physical Therapy and Occupational Therapy by Doctors of Podiatric Medicine Acting Within the Scope of their License
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10 USC 55, Change 9, June 27, 2018

Page Count: 518
Summary of Changes: USC Classification Table, 115th, First Session (Public Laws 115-1 through 115-117)
—Prepared by Office of the Law Revision Counsel, U.S. House of Representatives (January 12, 2018).
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DCS User Guide, Baseline, June 1, 2017

Page Count: 202
Summary of Changes: This is the June 2017 Duplicate Claims System (DCS) User Guide.
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Not available for this change

DoD WIC Overseas Program Policy Manual, Baseline, July 1, 2017

Page Count: 27
Summary of Changes: This is the July 2017 WIC Overseas Program Policy Manual
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Not available for this change
Superceded Manuals

TRICARE Operations Manual, Change 272, March 25, 2021

Page Count: 1,680
Summary of Changes: This change provides guidance to the contractor in order to implement enrollment fee payments for Select Group of beneficiaries and mandatory pay by allotment fees for Retirees. This change is published in conjunction with Feb 2008 TRM Change 192.
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TRICARE Policy Manual, Change 252, April 1, 2021

Page Count: 1,094
Summary of Changes: Provides the Calendar Year 2021 updated rates for the purchase of wigs and hairpieces by beneficiaries. This change is published in conjunction with Feb 2008 TRM Change 193.
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TRICARE Reimbursement Manual, Change 193, April 1, 2021

Page Count: 1,014
Summary of Changes: See the Change Transmittal. This change is published in conjunction with Feb 2008 TPM Change 252.
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TRICARE Systems Manual, Change 134, March 22, 2021

Page Count: 976
Summary of Changes: This change adds revisions that significantly expand TRICARE services to beneficiaries diagnosed with ASD and their families, with a major emphasis on support to the family. This change is published in conjunction with Feb 2008 TOM Change 271.
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32 CFR 199 (2005), Change 86, November 17, 2020

Page Count: 538
Summary of Changes: Final Rule - CY2021 TRICARE Reserve Select/TRICARE Retired Reserve/TRICARE Young Adult Premium Update
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